ADHD prescriptions in England have tripled in a decade and more than 800,000 people are waiting for an assessment. The NHS’s own taskforce says help for children should not wait for a diagnosis. Here is what that means for your family.

Common questions

Does my child need an ADHD diagnosis to get help at school?

No. The NHS ADHD Taskforce recommends needs-led support, such as coaching, classroom tools, and parenting strategies, offered when a child shows signs of struggle rather than after a diagnosis. In the United States, many schools offer tiered intervention supports on the same principle. Formal accommodations such as an IEP or 504 plan do require a professional evaluation, so pursue one if those supports are what your child needs.

What helps a child with attention struggles while waiting for an assessment?

The Taskforce points to practical, needs-led help: coaching, classroom adjustments, and parenting strategies. At home, that looks like short structured practice sessions that build attention and self-regulation, predictable routines, movement breaks, and consistent sleep. These strengthen the underlying skills whether or not a diagnosis follows, so none of the waiting time is wasted.

Is ADHD overdiagnosed?

Experts disagree. A government-commissioned review has raised concerns about a medicalisation of distress, while researchers writing in the British Journal of Psychiatry counter that diagnosis remains below the condition’s estimated population prevalence, with under-recognition still common, especially in girls and women. Both positions are about national totals. For an individual child, the actionable question is what support they need now, and that question does not wait on the debate.

Should I still get my child formally assessed?

If medication is under consideration, if your child might need formal accommodations such as an IEP or 504 plan, or if you suspect a vision, hearing, or medical cause, a professional evaluation is the route and worth pursuing. A screener is a starting point, not a diagnosis, and it is not meant to replace an evaluation for those formal supports. Its job is to show you where to start building skills today while the formal process runs its course.